Symptoms of tubal pregnancy

Pregnancy is a happy thing for many people, and anyone who has some understanding of pregnancy will know it. For a person to achieve pregnancy, the sperm and egg must combine, and the location must be inside the uterus. But some people in real life get pregnant through the fallopian tube. When this symptom occurs, it is an abnormal pregnancy state, which has a great impact on the female body and the gestational sac. So what should you do if you have symptoms of fallopian tube pregnancy?

After miscarriage or rupture of tubal pregnancy, the clinical phenomena are obvious.

1. Symptoms

(1) Abdominal pain: Most patients come to the hospital for sudden abdominal pain, the incidence of which is over 90%. At the beginning, it is often severe pain in the affected side of the lower abdomen, such as a tearing sensation, which may then spread to the entire abdomen. The degree and nature of the pain are related to the amount and speed of internal bleeding. If it is a rupture, the internal bleeding is large and rapid, irritating the peritoneum and causing severe pain, and may spread to the entire abdomen. If it is a fallopian tube abortion, the bleeding is less and slower, and the abdominal pain is often limited to the lower abdomen or one side, and the pain is also mild. In a few cases, the amount of bleeding is large, and the blood flows to the upper abdomen, irritating the diaphragm, causing upper abdominal and shoulder pain, which is often misdiagnosed as acute upper abdomen. Repeated rupture or abortion can cause repeated internal bleeding. If a large amount of internal bleeding or multiple small amounts of internal bleeding are not treated in time, the blood will coagulate in the lowest part of the pelvic cavity (rectal fossa), causing severe pain in the anus.

(B) Amenorrhea: tubal pregnancy often causes amenorrhea. The duration of amenorrhea is mostly related to the location of the tubal pregnancy. For those whose pregnancy is in the isthmus or ampulla, the date of amenorrhea is usually around 6 weeks, with abdominal pain symptoms often appearing, and rarely lasting more than 2 to 3 months. In women with regular menstruation, if internal bleeding occurs a few days after the menstrual period, it should be considered whether it is a tubal pregnancy. For pregnancy in the interstitial part of the tub, due to the thicker surrounding muscle tissue, it often ruptures at 3 to 4 months of pregnancy, so there is a longer period of amenorrhea. When inquiring about the medical history, detailed inquiries should be made about the amount, quality, and duration of menstruation compared with previous menstruation. Do not mistake vaginal bleeding for a menstrual period. In a few cases of tubal pregnancy, the chorionic gonadotropin produced by the chorionic tissue is insufficient to make the endometrium reach the amenorrhea reaction, and there is no amenorrhea.

(III) Irregular vaginal bleeding: After tubal pregnancy, endocrine changes occur, followed by degenerative changes and necrosis of the endometrium. The decidua is discharged in fragments or completely, causing uterine bleeding. The bleeding is often irregular, spot-like, and dark brown in color. It can only stop completely after the lesion is removed (by surgery or medication). In a few cases, vaginal bleeding is heavier. In addition to coming from endometrial exfoliation, some people believe that the bleeding comes from the fallopian tubes.

(iv) Syncope and shock: Patients often experience dizziness, blurred vision, cold sweats, palpitations, and even syncope while experiencing abdominal pain. The degree of syncope and shock is related to the rate and amount of bleeding.

(V) History of infertility: There is often a history of primary or secondary infertility. Among the 2,822 cases reported in Shanghai, 66.28% had a history of infertility.